Pregnancy - #9779

Thank you for sharing this, Harman. Based on your description, what you're experiencing is commonly seen in the second to third trimester of pregnancy especially around 26 weeks. Antenatal Follow-Up Note Patient Name:Harman Age:25 years Gravida :G1 (assumed, please confirm if not first pregnancy) Gestational Age:26 weeks Chronic Illnesses:None Date:12-04-2025 Chief Concerns: 1. Occasional right-sided abdominal/stomach pain 2. Pressure sensation while sleeping, especially at night 3. Pain in the right leg 4. Anxiety about whether this is normal in pregnancy Clinical Impression: Your symptoms are likely part of normal physiological changes in the second and third trimesters due to: 1. Round ligament pain– sharp or pulling sensation on one or both sides of the lower abdomen, more common on the right side. Caused by stretching of the ligaments that support the growing uterus. 2. Sciatic nerve pressure or pelvic girdle pain– the growing uterus can compress the sciatic nerve, causing leg or lower back pain (often one-sided). 3. Uterine pressure– normal as the uterus expands and shifts position. This may worsen at night due to sleeping posture. 4. Baby's position– can cause pressure in different areas at different times. Reassurance & Advice: - These symptoms are common and usually not dangerous if there are no red-flag signs. - Try left lateral sleeping position to reduce pressure on the inferior vena cava (a large vein). It improves circulation to baby and reduces pressure. - Use pillows between knees and under the belly while lying down for support. - Warm compress (not hot) can help relax muscles on the painful side. - Gentle stretching or prenatal yoga can relieve ligament and back discomfort. - Avoid standing or sitting for long period– shift positions frequently. When to Seek Immediate Medical Attention: If you have any of the following: - Severe or sharp constant pain (not relieved by rest) - Vaginal bleeding or fluid discharge - Fever or chills - Decreased fetal movement - Sudden swelling of feet, face, or hands - Headaches or visual changes Follow-Up Plan: - Routine antenatal visit as scheduled - Obstetric ultrasound (as per schedule or if advised for pain) - Monitor baby’s movements daily - Keep hydration adequate - Maintain iron and calcium supplements * PLEASE GIVE YOUR REVIEW . Thank you Dr Shayeque Reza MD 9800280276